Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester, UK.
Manchester Centre for Health Psychology, University of Manchester, Manchester, UK.
Int J Audiol. 2024 Jul;63(7):519-526. doi: 10.1080/14992027.2023.2227764. Epub 2023 Jun 29.
Many long-term care home (LTCH) residents have dementia and hearing loss, causing communication difficulties and agitation. Residents rely on staff for hearing support, but provision is often inconsistent. This study used the Behaviour Change Wheel's Capability, Opportunity and Motivation model to understand why LTCH staff do or do not, provide hearing support to residents with dementia who they believe could benefit from it.
An online survey exploring hearing support provision, capabilities, opportunities, motivations and demographics. Data were analysed using descriptive statistics, within-participants ANOVA and multiple linear regression.
165 LTCH staff.
Staff provided hearing support to 50% of residents with dementia who they thought would benefit. Self-reported physical and psychological capabilities (skills/knowledge) were significantly higher than physical opportunity (having time/resources). The physical capability was significantly higher than social opportunity (collaborative working) and reflective motivation (feeling motivated). Lower levels of hearing support provision were predicted by LTCH funding (private vs. local authority), job role (care assistant vs. nurse) and fewer physical opportunities.
Boosting capabilities through training alone may not be as effective as increasing opportunities via environmental restructuring. Opportunities may include strengthening working relationships with audiologists and ensuring hearing and communication aids are available within LTCHs.
许多长期护理院（LTCH）的居民患有痴呆症和听力损失，导致沟通困难和烦躁不安。居民依赖工作人员提供听力支持，但提供的服务往往不一致。本研究使用行为改变轮的能力、机会和动机模型，了解 LTCH 工作人员为什么提供或不提供听力支持给他们认为可能从中受益的痴呆症居民。
一项在线调查，探讨听力支持的提供、能力、机会、动机和人口统计学。使用描述性统计、参与者内方差分析和多元线性回归分析数据。
165 名 LTCH 工作人员。
工作人员为 50%认为会受益的痴呆症居民提供了听力支持。自我报告的身体和心理能力（技能/知识）明显高于身体机会（有时间/资源）。身体能力明显高于社会机会（合作工作）和反思动机（感到有动力）。听力支持提供水平较低的预测因素包括 LTCH 资金（私人与地方当局）、工作角色（护理助理与护士）和较少的身体机会。
仅通过培训提高能力可能不如通过环境重构增加机会有效。机会可能包括加强与听力学家的工作关系，并确保 LTCH 内提供听力和通信辅助设备。
